Aerobic fitness, psychological characteristics, and cardiovascular reactivity to stress

Examined the relations among aerobic fitness (AF), psychological characteristics, and cardiovascular reactivity using 62 men divided into highly fit and less fit groups based on a maximal treadmill exercise test. Several psychological and physiological variables were measured, and subjects' cardiovascular reactivity was assessed during a mental arithmetic task and during a video game task. Highly fit subjects showed a significantly smaller increase in both diastolic blood pressure (DBP) and heart rate (HR) and reported themselves to be less anxious and less angry than less fit subjects. Furthermore, controlling for subjects' scores on a scale assessing angry temperament reduced the relationship between AF and DBP reactivity to nonsignificant levels. These results suggest that degree of dispositional anger, which covaries with increased fitness, may contribute to the apparent relationship between AF and DBP--but not HR--reactivity.     

Lipid reactivity to stress: II. Biological and behavioral influences.

This study examined behavioral and physiological influences on lipid concentrations during acute and chronic stressors. One hundred men (n = 92) and women (n = 8) were tested during a chronic stressor and during 2 acute stressors. During chronic stress, diet, physical activity, exercise, and sleep were examined. During the acute stressors, catecholamines, cortisol, plasma volume, and cardiovascular responses were examined. None of the behavioral influences could explain the lipid response to chronic stress. Responses of the atherogenic lipids to acute stressors were not solely reflecting hemoconcentration of the plasma but were moderately correlated with cardiovascular, epinephrine, and cortisol reactivity. Diastolic blood pressure reactors to the acute stressors had larger lipid responses to the chronic stressor than did nonreactors. Elevations in blood lipids during stress are not artifacts and may be clinically significant.     

Body fat distribution and hemodynamic stress responses in premenopausal obese women: a preliminary study.

To examine the relationship between body fat distribution and hemodynamic stress responses, cardiovascular responses to a speech task and a forehead cold pressor task were evaluated with 24 premenopausal women classified a priori as either centrally or peripherally obese. Results showed that women with central adiposity exhibited greater stress-related increases in diastolic blood pressure and total peripheral resistance, whereas women with peripheral adiposity exhibited greater stress-related increases in cardiac output. Depression, self-consciousness, hostility, and mood scores did not explain significant variance in the stress response differences between regional adiposity groups. The findings suggest that central adiposity may increase the risk of cardiovascular disease in women at least in part by enhancing vascular responses to stress.     

The influence of gender, hypertension risk, and aerobic fitness on cardiovascular responses to laboratory-induced stress

The study sought to evaluate the influence of gender, hypertension risk, and aerobic fitness on cardiovascular responses to laboratory-induced stress. Sixty nonsymptomatic subjects (30 males, 30 females) participated in the experiment. Half of the subjects had at least one biological parent with hypertension, while half had no parental history of hypertension and served as comparison subjects. Subjects completed a laboratory procedure measuring cardiovascular responses (i.e., pulse rate and blood pressure) while performing stressful laboratory tasks (i.e., the Stroop Color Naming Test and a sham IQ test). Aerobic fitness (i.e., VO_2max using the Bruce protocol) was also determined using a submaximal treadmill test in the laboratory. Results suggest that males with a family history of hypertension were more stress responsive based on systolic blood pressure, while females were more stress-responsive according to pulse rate activity. Fitness levels were significantly associated with diastolic blood pressure throughout the stress and recovery periods but were unrelated to pulse rate and systolic blood pressure.     

The relationship between aerobic activity and cognitive performance under stress

This study examined the relationship between regular aerobic activity and cognitive performance under stress when personality and inherent aptitude were statistically controlled. Aerobically conditioned subjects have been shown to mediate the physiological response to stress under physical challenge. Would aerobically conditioned subjects also respond more efficiently to psychological stress under cognitive challenge? Forty volunteers completed a battery of personality and aptitude measures and then completed two cognitive tasks (written tests of logic), one under a condition of no stress, the other while being verbally pressured by a test monitor. Heart rate and blood pressure were measured during and after each cognitive task. Contrary to the experimental hypothesis, aerobic activity was related to inferior cognitive performance and to elevated blood pressure under stress. Inherent cognitive aptitude and personality traits emerged as far more important correlates of cognitive performance under stress than did the level of exercise.     

Reduced emotional stress reactivity to a real-life academic examination stressor in students participating in a 20-week aerobic exercise training: A randomised controlled trial using Ambulatory Assessment

ObjectivesTo examine if a preventive 20-week aerobic exercise intervention (AET) can improve emotional stress reactivity during real-life stress.DesignRandomised controlled trial; within-subject design.MethodSixty-one inactive students were randomly assigned to a waiting control and an AET group. To capture the situation-specific, intra-individual data in real life, electronic diaries were used. Participants reported their moods and perceived stress (PS) repeatedly over two days during their daily routines pre- and post-intervention. The pre-intervention baseline assessment was scheduled at the beginning of the semester, and the post-intervention assessment was scheduled at a real-life stressful episode, an academic examination. For the aerobic fitness assessment, both groups completed a cardiopulmonary exercise test on the treadmill before and after the intervention. Multilevel models (MLMs) were conducted to compare within- and between-subject associations.ResultsSignificant emotional stress reactivity was evident in both groups during all assessment periods. However, participants in the AET group showed lower emotional stress reactivity compared with their control counterparts after the 20-week training programme during the real-life stress episode (the academic examination).ConclusionsAET conferred beneficial effects on emotional stress reactivity during an academic examination, which is likely an extremely stressful real-life situation for students.AET appears to be a promising strategy against the negative health effects of accumulated emotional stress reactivity.     

BEHAVIORAL MANAGEMENT OF EXERCISE TRAINING IN VASCULAR HEADACHE PATIENTS: AN INVESTIGATION OF EXERCISE ADHERENCE AND HEADACHE ACTIVITY

A behavioral package was used to shape and maintain the adherence of 5 subjects with vascular headache to a program of aerobic exercise training. Repeated measures of exercise behavior were examined through the use of a bidirectional changing criterion design. Repeated measures of headache activity were also collected. Results demonstrated a functional relationship between the behavioral package and exercise adherence, because all 5 subjects showed exercise behavior that matched bidirectional changing exercise criteria. The results also indicated clinically significant collateral reductions in vascular headache activity in 4 subjects. Subjects whose aerobic fitness levels were not masked by vasoactive medication also showed measurable increases in aerobic fitness. The results are discussed in terms of the methodology used to demonstrate a functional relationship between the adherence package and exercise behavior and the possible mechanism(s) by which aerobic exercise activity might affect vascular headache activity.     

The Contribution of Perceived Fitness to Physiological and Self-Reported Responses to Laboratory Stress

This study sought to evaluate the contribution of perceived physical fitness beyond the contributions of gender, body mass index (BMI), defensiveness, and estimated aerobic fitness on both physiological and self-reported stress responsivity to laboratory-induced stress. Ninety healthy individuals (45 males, 45 females) participated in the experiment. Participants completed a laboratory procedure measuring cardiovascular responses (i.e. pulse rate and blood pressure) and self-reported rating of anxiety (i.e. the anxiety scale from the Multiple Affective Checklist–Revised—MAACL–R) while performing stressful laboratory tasks (i.e. the Stroop Color Naming Test and Serial 7's). Estimated aerobic fitness (i.e. VO₂max using the Bruce protocol) as well as perceived fitness (using a 10-point Likert scale) were also determined. Multiple regression and effect size results revealed that perceived fitness significantly contributed to the variance associated with both physiological and self-reported responses to laboratory stress. Specifically, perceived fitness significantly added to the variance beyond that attributed to gender, BMI, defensiveness, and estimated aerobic physical fitness while assessing pulse rate and MAACL–R anxiety scores. Overall results support the view that perception of fitness may be an important factor above and beyond aerobic fitness in its association with physiological and self-reported responses to stress.     

The type A behavior pattern, physical fitness, and psychophysiological reactivity

Joint effects of the Type A behavior pattern and aerobic fitness were examined with regard to heart rate (HR) and blood pressure (BP) changes elicited by laboratory challenges. Sixty-one college students were classified as Type A or B using the Structured Interview (SI), and as physically fit or sedentary using self-reports of activity level and estimated VO2max values obtained on a step test. Subjects were challenged with the SI, presentation of a snake, mental arithmetic, a cold pressor task, and two competitive card games. Significant A-B differences were found only on the SI and the card games. During the SI: As displayed significantly greater BP increases than Bs; sedentary subjects showed greater BP increases than fit subjects; and sedentary As revealed greater BP increases than either fit As, fit Bs, or sedentary Bs. In contrast, during the competitive games, physically fit As showed reliably greater BP increases than either sedentary As, sedentary Bs, or fit Bs. Since the physically fit subjects were almost exclusively varsity athletes and the sedentary subjects were college students who reported following a sedentary lifestyle, the differences between sedentary and fit groups may have been due to differences in aerobic fitness or to the improved ability of competitive athletes or those engaged in fitness training to match arousal level to task requirements.     

Does the level of physical exercise affect physiological and psychological responses to psychosocial stress in women?

ObjectivesTo test the Cross-Stressor Adaptation hypothesis for females by examining whether physically exercising young women show reduced physiological and psychological stress responses to a psychosocial stressor.DesignForty-seven healthy young women with different levels of physical exercise (17 not or rarely exercising, 15 moderately exercising, 15 vigorously exercising) underwent the Trier Social Stress Test for Groups (TSST-G); physiological and psychological stress responses during and after stress induction were compared.MethodANOVAs with repeated measures were used to compare stress reactivity and recovery between the three exercise groups. Heart rate and salivary free cortisol were used as indicators of physiological stress response, state anxiety, mood, and calmness as indicators of psychological stress response. For physiological stress reactivity, the areas under the curve with respect to the ground (AUC_G) were compared.ResultsIn all three exercise groups, experimentally induced stress led to a significant rise in heart rate, cortisol, and state anxiety; mood and calmness significantly decreased. As hypothesized, the pattern of the physiological stress response differed for the three exercise groups, with lowered reactivity in the more active groups. However, the psychological stress response partly went in the opposite direction: Exercising participants reported a higher mood decrease, suggesting a dissociation of the physiological and psychological stress responses.ConclusionsThe findings suggest that the Cross-Stressor Adaptation hypothesis is also valid for young women; however, only with regard to physiological stress response. The unexpected findings for psychological stress response need to be further explored in experimental studies.     

Objectification in Fitness Centers: Self-Objectification, Body Dissatisfaction, and Disordered Eating in Aerobic Instructors and Aerobic Participants

This study was designed to investigate self-objectification, its theoretical consequences, and its relationship to reasons for exercise within a fitness center environment. Sixty female aerobic instructors and 97 female aerobic participants, who ranged in age from 18 to 45 years, completed questionnaire measures of self-objectification, reasons for exercise, body dissatisfaction, and disordered eating. Increased self-objectification (and self-surveillance) was related to disordered eating symptomatology, body dissatisfaction, and appearance-related reasons for exercise. Aerobic instructors scored significantly lower on self-objectification, body dissatisfaction, and disordered eating than did aerobic participants, and they exercised more for enjoyment and less for appearance-related reasons. For aerobic participants, location of exercise (inside or outside the fitness center) moderated the relationship between frequency of exercise and self-objectification, such that exercising within fitness centers was associated with relatively higher self-objectification. Higher levels of self-objectification were also related to wearing tighter exercise clothing. These results support the general model of Objectification Theory, and provide practical implications for women who exercise within objectifying environments.     

Oral contraceptive use and hemodynamic, lipid, and fibrinogen responses to smoking and stress in women.

The effects of acute smoking and oral contraceptive (OC) use on cardiovascular, lipid, and fibrinogen stress responses were examined in 52 female smokers and nonsmokers, half of whom were using OCs. Women smoked or sham-smoked a cigarette and then performed 2 stressful tasks. Stress elicited increases in total and low-density lipoprotein cholesterol, and in triglycerides among women who smoked, and in fibrinogen among all women. Smokers who used OCs had greater blood pressure increases to smoking and to stress than did smokers who did not use OCs. OC use was also associated with enhanced total peripheral resistance stress responses among women who smoked and cardiac output stress responses among women who sham-smoked. Results suggest that OC use moderates cardiovascular reactivity in smokers but not nonsmokers, enhancing vascular responsivity to smoking combined with stress and myocardial responsivity to stress alone.     

Physical fitness and self-reported physical exercise among college men and women in 1987 and 1997.

The study examined the relations of self-reported physical activity levels and physical fitness scores for two samples of college students assessed in 1987 (n = 261) and in 1997 (n = 243). Significantly greater exercise was reported by the 1997 women than the 1987 women; amount of exercise reported by men did not differ. For both samples, greater exercise was associated with increased fitness for women and men as assessed by the Hall 1986 Physical Fitness Test Profile, comprised of measures on body fat composition; grip strength; muscle endurance, flexibility, resting heart rate; systolic and diastolic blood pressures; and aerobic power. For the 1987 sample men were more fit than women. For the 1997 sample, women were more fit than men. The 1997 women were more fit than the 1987 women; there was no difference on overall fitness measures of the two samples of men.     

Perceived Fitness and Responses to Laboratory Induced Stress

This study sought to evaluate the contribution of perceived physical fitness beyond the contributions of gender, body mass index (BMI), and estimated actual physical fitness on both physiological and self-reported stress responsivity to laboratory induced stress. Seventy-two nonsymptomatic participants participated in the experiment. Participants completed a laboratory procedure measuring cardiovascular responses and self-reported rating of calmness while performing stressful laboratory tasks. Estimated aerobic fitness (VO_{2 max}) as well as perceived fitness were also determined. Perceived fitness significantly contributed to the variance associated with self-reported responses to laboratory stress as well as with some of the physiological measures. Perceived fitness significantly added to the variance beyond that attributed to gender, body mass, and estimated actual physical fitness while assessing systolic blood pressure and calmness. Overall, the results support the view that perception of fitness may be an important factor above and beyond aerobic fitness in its association with responses to stress.     

Perceived racism and vascular reactivity in black college women: moderating effects of seeking social support.

This quasi-experimental study explored the association of perceived racism and seeking social support to vascular reactivity in a college sample of 110 Black women. Perceived racism and seeking social support were assessed via self-report, and vascular reactivity was measured before and during a standardized speaking task. Hierarchical regression analyses indicated that perceived racism was positively related to changes in systolic blood pressure. These analyses also indicated that seeking social support moderated the relationship between perceived racism and systolic blood pressure changes. This interaction effect persisted after controlling for several potential confounders. Follow-up regression analyses showed that perceived racism was positively associated with reactivity among participants who were low in seeking social support. A significant relationship was not observed between perceived racism and systolic blood pressure changes among participants who were high in seeking social support. Perceived racism and seeking social support were not significantly associated with changes in diastolic blood pressure. These findings highlight the importance of examining psychosocial factors that may mitigate the hypothesized relationship between perceived racism and reactivity.     

Menopausal stage and age and perceptions of body image

Abstract

The aim of This study was to investigate the association between menopausal stage and age and women's perception of their body image. Females from a community sample (n = 304. age range from 35 to 65 years) volunteered to complete a structured questionnaire which contained the Multidimensional Body Self Relations Questionnaire (MBSRQ) and the Stunkard Body Shape Figure Scale. One hundred and twenty women were premenopausal, 76 women were perimenopausal and 108 were postmenopausal. The effects of age and menopausal stage could not be separated in ratings of appearance evaluation, fitness evaluation, current, ideal and societal ratings of the Stunkard Body Shape Figure Scale. Premenopausal women (who were likely to be younger) had more positive ratings of appearance evaluation and fitness evaluation than menopausal women (who were likely to be older). Women who were premenopausal nominated smaller figures from the Stunkard Body Shape Figure Scale for ratings of the current, ideal and societal body shape than women who were perimenopausal and postmenopausal. The implications of these findings as they relate to women as they progress through the menopausal transition and as they become older is discussed.     

Cardiovascular and neurohumoral responses to behavioral challenge as a function of race and sex

Cardiovascular and hormonal responses to a structured interview, an electronic video game, a cold pressor test, and exercise on a bicycle ergometer were assessed in eighty-three 25- to 44-year-old normotensive Black and White men and women. Blacks showed significantly greater diastolic blood pressure (DBP) responses than Whites during the cold pressor test, which were not accounted for by an increase in plasma catecholamines. Exercise produced reliably greater systolic blood pressure (SBP) increases in Black women than in Black men or White women. Men showed significantly greater SBP and DBP changes than women during the video game. These findings suggest that the pattern of physiological reactivity elicited by challenge is related to the race and sex of the subjects.     

Patterns of cardiovascular responses to stress as a function of race and parental hypertension in men

This study investigated cardiovascular responses to two stressors known to elicit either beta-adrenergic (mental arithmetic) or alpha-adrenergic (forehead cold pressor) reactivity in Black and White men. Participants in each group were selected for presence or absence of parental hypertension. Based on previous research, Blacks were expected to show smaller cardiovascular responses to the beta-adrenergic mental arithmetic task and greater responses to the alpha-adrenergic cold pressor relative to the Whites. Systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate, forearm blood flow, and forearm vascular resistance were assessed during a resting baseline, a prestress period, and during and after each experimental procedure. Unlike previous findings, no significant racial differences in cardiovascular responses were found during either task. However, Black participants had significantly higher SBP and DBP levels throughout the cold pressor periods. Parental history did not significantly influence cardiovascular responses in either group. The results are discussed in relation to previous research on racial differences in stress reactivity and their implications for future research.     

The Association Between Cardiovascular Stress Responsivity and Perceived Stress Among Subjects with Irritable Bowel Syndrome and Temporomandibular Joint Disorder: A Preliminary Analysis

This study sought to evaluate the association between perceived and cardiovascular stress responsivity among subjects with Irritable Bowel Syndrome (IBS) and Temporomandibular Disorder (TMJ). Eight participants with IBS, eight participants with TMJ and 16 nonsymptomatic comparison participants took part in the experiment. Participants completed a series of personality and mood questionnaires as well as a laboratory procedure measuring aerobic fitness, cardiovascular responses (i.e., pulse rate and blood pressure), and perceived stress while performing stressful laboratory tasks (i.e., the Stroop Color Naming Test and a speech task). Although IBS and TMJ participants did not vary significantly from comparison participants in blood pressure or heart rate during the laboratory procedures, IBS and TMJ participants reported experiencing the laboratory tasks as more stressful than comparison participants. Although preliminary due to the small sample size, results suggest that IBS and TMJ sufferers may be more sensitive to perceived stress than others.     

Current issues and new directions in Psychology and Health: The costs and benefits of self-regulation – a call for experimental research

Abstract

This study was designed to assess the effects of exercise on psychological functioning in healthy Type A men. Seventy-three middle-aged men (M=42.2 years) were randomly assigned either to an aerobic exercise (AE) training group or to a strength and flexibility (SF) training group. Subjects completed a comprehensive psychological assessment battery prior to beginning the 12-week exercise programs, and after completing the programs. The psychological test battery included measures of depression, anxiety and stress, as well as various psychiatric symptoms. In addition, subjects underwent graded exercise treadmill tests (ETT) at both times of measurement in order to document changes in cardiorespiratory fitness. Aerobic exercise training consisted of walking, jogging or stair-climbing at an intensity of at least 70% of initial measured maximal oxygen consumption (VO₂max determined during the treadmill test). Strength and flexibility training consisted of circuit Nautilus training with no aerobic exercise. Results at the conclusion of the 12-week programs indicated that [Vdot]O₂max for the AE group increased by 15%, while the SF group did not change. Both groups improved on measures of psychological well-being; however, there were no differential effects of the two exercise programs on measures of psychological functioning. These results suggest that improved cardiovascular fitness is not necessary for psychological improvement among exercise participants.